HomeMy WebLinkAboutBLD1988-00301 BUILDING PERMIT APPLICATIOtik
Jefferson County Buil•Department• County Courthouse •Port Tov nd, Wash.98368 • 385-9141
N E r =.
I. LOCATION: geographic name S W SIDE OF ROAD FEET
N E ) �J ' �o S W FROM INTERSECTION OF ROAD AND a t ei ( h L��(L-' ROAD
other specific location or landmark: lC`."/--e (�� �"_ iI `^'"— 4 /
LEGAL r9RIPTION: l0 1 1 DAJ (t
+ J1� ti , Lot .—Block Subdivision`
30
oDS &(--,0
Tax Number /a Section Section Township Range
II.TYPE AND COST OF BUILDING -
TYPPEE OF IMPROVEMENT BUILDING TYPE MOBILITY
jt�(New building ❑Single Family ❑New County Resident
❑Addition ❑Multi-Family Is this structure to serve the residential
number of units
❑Alteration or commercial needs of those employed
❑Hotel,Motel, Dormitory at either the U.S.Navy's Trident or
❑Repair,replacement number of units
Indian Island Facilities?
�i, El Wrecking ❑
° obile Home
❑Moving (relocation)
,L11 Other—Specify ❑YES ❑NO
❑Foundation only
„ca R
ka
s ,\.\\:
G Ar
C USE
OWNERSHIP ❑Full-time Residence
0 Private (individual,corporation,
+ nonprofit institution,etc.) /QQ ❑Second Home: Recreation Cabin,etc.
❑Public (Federal,State or local govt.) UBC OCCUPANCY GROU ❑Second Home: Future conversion to
t- permanent residence
44 COST (Omit cents)
Nonresidential— Describe in detail proposed use of buildings,e.g.,food
• Cost of improvement $ processing plant,machine shop,laundry building at hospital,elementary
To be installed but not included school,secondary school,college,parochial school,parking garage for
in the above cost department store,rental office building,office building at industrial plant.
a. Electrical If use of existing building is being
)( � eichanged,ent proposed Xl'
b. Plumbing q0a /(a0e7 ii 7�
LJ jl v�
"'�_ c. Heating,air conditioning
d. Other (elevator,etc.)
• TOTAL COST OF IMPROVEMENT $
III.SELECTED CHARACTERISTICS OF BUILDING -
e
1"`. / DIMENSIONS
2 PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL
1 ,7 El Masonry (wall bearing)
/" •Number of Stories
[1]Public or Private // •Total square feet of floor area,
Wood Frame ❑Individual (septjsrfank,etc.) all floors,based on exterior
LJ Structural steel /f dimensions
Li Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft.
❑Other—Specify ❑ lic or private company
NUMBER OF OFF-STREET
,--❑Individual (well,cistern) PARKING SPACES
Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
❑Gas
f f
Outdoors
❑Oil ✓" RESIDENTIAL BUILDINGS ONLY
❑Electricit Number of bedrooms
❑C -ri TYPE OF MECHANICAL
then—Specify
Number of Full
bathrooms
VPartial
-"1V. IDENTIFICATION -
Name Mailing A dress— Number,street,city and State ZIP code Tel.No.
1. ( 7( ft, i(lt 7cif(0
Owner _) ( /
,,a2ik 6 vo?c/ .
2.
Contractor State License No.
3
Architect
The owner of this building and the undersigned agree to conform to all applicable laws.
ignature applicant /' Address
/T Appl' attiii?date
(74
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY
/4—t)t.k.-,,,p,--
JEFF s0 NTY HEALTH DEPARTMENT
APPROP kl:'' E 13 PERMIT FEE ISSUE DATE RECEIPT NUMBER
JUN 2 1988 C- co
:3, S-C) 6?A 07K)
?/.7
BUILDINGJD ERS{11KDUNTY rcr
PLas,}tJNI:&BLDG❑. L1
The Printery—Port Townsend
>
0/
t'
.....*
,o
e
1
/ -
t v S 1-iii
---
tkv 1
; t)
f-f :LI
0 0 z• .>< i
1 '''' il '' kf' 1-4_
M.
t i ft 1 t i -0 e.
An
CA)
6 ( iv-0
A *ii e, P ra •=1 / -/-') I
4 1 et) __ __-
P c, 0- ,,,
'
*i P r
7 ,
V\"‘.. 4-
0 -10‘'' i t 0 '._." r
k" F:- ,fr, _.....„,.......,
1 t - il...-, b :$
---------- Am.. i A L
t 't -12 in P -
I) + 1
P A +a
A
, zr or r,
••43 "'''', • ''' le r.,,. -1
r--
--I c) P IZ '1 4 P tril t
--- -
0- t$1"."
IA it 41X r I -
% A .-r- , ;
',
4
•-.4
..„,-
_..., ........ , ,
63, .
1 t- 4- n
.
f.'
o J r, ., --5 -11 i 1 P
.4 n? ti A
17;1 \I 11.4 f) 01: I i
0 i P , ei...,..' It' . 1.
ori _....,..-=-__
_____ __.
-+- I,
......
t• 0 N .......i t , I
.t
1 I
1 1 f
X) IT1 t
of r-e 1) e
... 7.-
•... $ 4 o
,
71
r
...1 ' la
A
0. 4•'''' #... %,
....1 . *4
tr)J- 61. rj
Id I— 0 ec e
E - ,
O 0
tai
-
Cr: C 4 Ts
ta. ,
r *
0 t ........._, D
i
1
A -e-
t,
' --—---------- .... \ 1
•L' av c.--
/ -
' ' \ •F ..--
z.
,
11,
\ \ 0.
I ,
0 A
I A rer4§ \
grit x
tt 0
i
o t 4 )7,
ft i I.
it i tr. a F
0,-
ite, —
c
11` .L .$ v to /-4,-,0%• V v ti
+--
1 3
,...- f 1
P N 10 tli r S —
.0 F, ,.....6
hl,
I lb c4 i P _
4.-
ii, 120
7' t
• s) - , $p„. : I
•^S..7 1 cs" Ir.
o ., i --, % •\
4'.'" \ \
,
G V ,
— — e
O t
-1 J •-, ..
A v,
ern
\ i,,-• 44-
co
(---
i- o
r ;
y ...
.... !io/
,t At
t: 4
(Al
z
0- c
-co
.e.
1
RE PLAT or .Er n1oknt writes ortrr5IDA) Na 1--
L o cc, ed I ni AEG 30 1--z5 IV') 11). 2 w, M
,!EFPfie59N Cou.t7$ 1) u1A6Eirnl ,o/
,�y,,' 1
I
,s, \1
it
..v7"
., t
f fkotyt"4 d
l
I
4X i \
d,
c-t‘ \ , \
1 !
Ltl'1$ 11 s
[ R;' i
''''Sk\,,,,,,,..„,
„,. X Q
L5 �S7 5.21-3S-a.36' --;..2 ioE of t y ��l
�a.4• FEE T Frei M C&..d C 1.,.tcz'e �' T
a I
Po 5 i o.on � a,, + I
,... ''. .), / i
L46En � ., .G
`o g
- Fro) REBRk. 1, Cap L5 8892If
,1
0
7 - 5 E; N f 7-Acx ,;,
3
1
1
!
5Ca LE / rs 9D1
I L.
5RETC/N 5HOL.4_1iW6
Lo I" l O 1 i EA 10 tk ey.j„ E s r r1 rr5 DILL "r —. __ ....
J. F 2 50WWI CO, , ilsi4
�o
7/ Ck roo1I Dr
/ �s
3r, 1. .
APPROVED
Pea 614 N.3 °
JEFFERSON COUNTY
PLANNING&BLDG DEFT
f/?/-L an
cy.t.1.•--Aoo-tAAJ a IC /s_a.-
tPowL--r‘‘
`6 J C 1�Q(1 y j �c� (."1 vcj c C U4-1.4
/J L O0 O lc— Cti% A—Lb
J
L L
7/ /c.64?
/f5��